Evidence map›Paper›PMID 28449969›Full record

ArticleVaccine2017

Association between functional antibody against Group B Streptococcus and maternal and infant colonization in a Gambian cohort.

Kirsty Le Doare, Amadou Faal, Mustapha Jaiteh, Francess Sarfo, Stephen Taylor, Fiona Warburton, Holly Humphries, Jessica Birt, Sheikh Jarju, Saffiatou Darboe and 6 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Vaccine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04059510 (opTImisation of Methods for a Human INfection Model for Group B Streptococcus), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04059510 unknown statusnot on this mapstarted 2019, after this paper: background citation

opTImisation of Methods for a Human INfection Model for Group B Streptococcus

TypeobservationalSponsorSt George's, University of LondonRan2019 to 2020Enrolled500ConditionsGroup B StreptococcusArmsrectovaginal swab, pregnancy test, Menstrual cup, Blood test, Focus group
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Impact of Circulating Antibody on Group BInfection and immunity · 2020
    Article
  7. Article
  8. A Vaccine Against Group BInfection and drug resistance · 2020
    Review
  9. Streptococcus agalactiae in pregnant women in Brazil: prevalence, serotypes, and antibiotic resistance.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2019
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 2 countries.

Kirsty Le DoareCentre for International Child Health, Imperial College London, Norfolk Place, London W2 1PG, UK,; Paediatric Infectious Diseases Research Group, St. George's University of London, Cranmer Terrace, London SW17 0TE, UK; Vaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia. Electronic address: K.mehring-le-doare@ic.ac.uk.
Amadou FaalVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Mustapha JaitehVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Francess SarfoVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Stephen TaylorPublic Health England, Porton Down, Salisbury SP4 0JG, UK.
Fiona WarburtonStatistics Unit, National Infection Service, Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.
Holly HumphriesPublic Health England, Porton Down, Salisbury SP4 0JG, UK.
Jessica BirtVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Sheikh JarjuVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Saffiatou DarboeVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Edward ClarkeVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Martin AntonioVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Ebenezer Foster-NyarkoVaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
Paul T HeathPaediatric Infectious Diseases Research Group, St. George's University of London, Cranmer Terrace, London SW17 0TE, UK.
Andrew GorringePublic Health England, Porton Down, Salisbury SP4 0JG, UK.
Beate KampmannCentre for International Child Health, Imperial College London, Norfolk Place, London W2 1PG, UK,; Vaccines & Immunity Theme, MRC Unit The Gambia, Atlantic Road, Fajara, Gambia.
MRC Unit the Gambia · GMPublic Health England · GBSt George's, University of London · GB

Funding

Medical Research Council MC_UP_A900_1115Medical Research Council MC_UP_A900_1122Medical Research Council MR/R005990/1Wellcome Trust
6 · The paper itself

Abstract

backgroundVertical transmission of Group B Streptococcus (GBS) is a prerequisite for early-onset disease and a consequence of maternal GBS colonization. Disease protection is associated with maternally-derived anti-GBS antibody. Using a novel antibody-mediated C3b/iC3b deposition flow cytometry assay which correlates with opsonic killing we developed a model to assess the impact of maternally-derived functional anti-GBS antibody on infant GBS colonization from birth to day 60-89 of life.

methodsRectovaginal swabs and cord blood (birth) and infant nasopharyngeal/rectal swabs (birth, day 6 and day 60-89) were obtained from 750 mother/infant pairs. Antibody-mediated C3b/iC3b deposition with cord and infant sera was measured by flow cytometry.

resultsWe established that as maternally-derived anti-GBS functional antibody increases, infant colonization decreases at birth and up to three months of life, the critical time window for the development of GBS disease. Further, we observed a serotype (ST)-dependent threshold above which no infant was colonized at birth. Functional antibody above the upper 95th confidence interval for the geometric mean concentration was associated with absence of infant GBS colonization at birth for STII (p<0.001), STIII (p=0.01) and STV (p<0.001). Increased functional antibody was also associated with clearance of GBS between birth and day 60-89.

conclusionsHigher concentrations of maternally-derived antibody-mediated complement deposition are associated with a decreased risk of GBS colonization in infants up to day 60-89 of life. Our findings are of relevance to establish thresholds for protection following vaccination of pregnant women with future GBS vaccines.

Indexed as

Immunity, Maternally-AcquiredInfectious Disease Transmission, VerticalAdultAntibodies, BacterialCarrier StateChildChild, PreschoolCohort StudiesComplement C3bFemaleFetal BloodFlow CytometryGambiaHumansImmunologic TechniquesInfantAntibodies, BacterialComplement C3bOpsonin ProteinsGroup B StreptococcusMeningitisNeonatalVaccines

Identifiers

PMID28449969
PMCPMC5432431
OpenAlexW2608993029

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.